A printable version of this form can be found here

Animal Approval Form

 

4-H Market Steer Sale at Fryeburg and Windsor Fairs          

*Attach Bill of Sale*

 

Exhibitor’s Name ________________________________________________       Address ______________________________________________

Age as of January 1 Current Year ___________________________________       Town & Zip Code ______________________________________

Club Name (if applicable) __________________________________________      E-mail:                                                                                                  

 

County Where Enrolled _____________________ Telephone # ____________     DEADLINE:  Market Steers: February 16, 2009                                                                                                                                                

                                                                                                                                   

Club leader (or advisor for independent member) must sign on the line after last entry and send form(s) to County Extension Office once tagging is complete.  Extension Office will confirm member’s status by signing original form, then will forward original to the State 4-H Office.  County office will give an official copy to exhibitor.  4-H member must have the animal approval form available at all times during an event.  Market animals will have an electronic chip as well as an ear tag placed by a designated team.  The chip & tag will be placed during January for market steers.  A DNA sample will also be taken at the time of tagging.  This form is to certify that the above exhibitor is a bonafide 4-H member and the animal (s) listed are eligible to be shown by this member in current year 4-H animal shows. 

 

 

Name of Animal

 

Chip

 Number

 

Metal

Ear tag

Number

 

Animal’s

Birth date

Mo/Day/Year

 

 

Breed

 

Designate

at which Show

To be

Shown at:

 

Date of

Ownership

mm/dd/yyyy

 

*

Check Here

 If Bred by Exhibitor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of 4-H Extension Staff________________________________________________________Date_____________________________

 

 

 

Must be copied front to back. After making a copy for county files, county sends the original to the State 4-H office.

 

Embossed Copy to 4-H Member.

This is side 1 of a 2-sided form-MUST be copied as such.  This form is invalid if not copied front to back.
Revised 12/16/2008

 

 

 

Youth’s name from front of form: _________________________________________

 

 

Signature of person(s) applying the tags:

 

 

 Signature of recorder:

 

          DNA Sample obtained                                                Date:

 

Animals to be sold at Windsor Fair and Fryeburg Fair must be listed on this form.  Once chip and ear tag are placed, this form must be submitted to your 4-H Extension Staff by deadlines listed on the front of this form.  An embossed (official) copy of this form with a 4-H Extension Staff’s signature must be presented to the Superintendent of the 4-H show in which you participate, and must agree with information on the State 4-H Database.

 

 “A Member of the University of Maine System”

In complying with the letter and spirit of applicable laws and in pursuing its own goals of diversity, the University of Maine System shall not discriminate on the grounds of race, color, religious, sex, sexual orientation, national origin or citizenship status, age, disability, or veterans’ status in employment, education, and all other areas of the University.  The University provides reasonable accommodations to qualified individuals with disabilities upon request.  Questions and complaints about discrimination in any area of the University should be directed to the Director of Equal Opportunity, 101 North Stevens (207) 581-1228.

 

Revised 12/16/2008